Specific, but not general beliefs about medicines are associated with medication adherence in patients with COPD, but not asthma: Cohort study in a population of people with chronic pulmonary disease

Fischer, Wiebke; Brandstetter, Susanne; Brandl, Magdalena; Finger, Tamara; Böhmer, Merle M.; Pfeifer, Michael; Apfelbacher, Christian

doi:10.1016/j.jpsychores.2018.02.004

Cited by 17 publications

(34 citation statements)

References 34 publications

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“…Two studies reported the possibility of generalizing the findings, as the analyzed sample matched the representative sample. In the included cohort study [ 23 ], confounding factors were identified and addressed, the intervention/exposure was administered as intended, and medication beliefs and adherence were clearly defined and accurately measured. However, the generalization of the results was described as one of the limitations of this article.…”

Section: Resultsmentioning

confidence: 99%

“…Findings of the 11 reviewed studies are shown in Table 3 . The studies appeared from 1999 to 2020, ten were cross-sectional studies that included surveys or interviews, while only one was a cohort study [ 23 ]. Most of the studies focused on patients with HTN (5 of 11) or DMT2 (5 of 11).…”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies focused on patients with HTN (5 of 11) or DMT2 (5 of 11). Only one article focused on patients diagnosed with asthma [ 23 ]. The sample sizes ranged from 109 to 900 participants.…”

Section: Resultsmentioning

confidence: 99%

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The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review

2020

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(1) Background: Medication adherence is a key determinant of patient health outcomes in chronic illnesses. However, adherence to long-term therapy remains poor. General beliefs about medicine are considered factors influencing medication adherence. It is essential to address the gap in the literature regarding understanding the impact of general beliefs about medicine on medication adherence to promote adherence in chronic illnesses. (2) Methods: PubMed, CINHAL, and EMBASE databases were searched. Studies were included if they examined medication beliefs using the Beliefs about Medicine Questionnaire in one of four chronic illnesses: hypertension, diabetes, chronic obstructive pulmonary disease, and/or asthma. (3) Results: From 1799 articles obtained by the search, only 11 met the inclusion criteria. Hypertension and diabetes represented 91% of included studies, while asthma represented 9%. Higher medication adherence was associated with negative general medication beliefs; 65% of the included studies found a negative association between harm beliefs and adherence, while 30% of studies found a negative association with overuse beliefs. (4) Conclusions: This review evaluated the impact of harm and overuse beliefs about medicines on medication adherence, highlighting the gap in literature regarding the impact of harm and overuse beliefs on adherence. Further research is needed to fully identify the association between general beliefs and medication adherence in people with different cultural backgrounds, and to explore these beliefs in patients diagnosed with chronic illnesses, particularly asthma and chronic obstructive pulmonary disease (COPD). Healthcare providers need to be aware of the impact of patients’ cultural backgrounds on general medication beliefs and adherence.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review

2020

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“…In addition, the incidence of exacerbation (≥ 2 times) decreased from 35.23-14.77% in the intervention group, significantly lower than that (27.27%) in the control group (P = 0.042). Patients' belief about medicines could be a predictor of adherence [6]. Patients' attitude toward medications also improved during the study period.…”

Section: Firstly We Summarized and Improved The Inhaler Technique Amentioning

confidence: 87%

“…Though disease control could be achieved effectively among many patients through medication [2,3], present treatment of asthma and COPD are not optimal among many patients [4]. Many factors could affect the disease management of asthma and COPD, such as adherence to prescribed medications, technique of using an inhaler, patients' perceptions and patient education [5,6], and disease management failure predominantly due to the incorrect inhaler technique usage of patients [7].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a novel progressive pharmaceutical care model based on inhaler technique in the disease management of patients with asthma and chronic obstructive pulmonary disease in China

Wang¹,

Xu²,

Qin³

et al. 2019

Preprint

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Background: Inhaler device is regarded as the standard treatment for patients with asthma and chronic obstructive pulmonary disease (COPD). However, patients still have errors in performing inhaler devices even after education and training. This study aimed to explore the effective of a novel progressive pharmaceutical care model based on inhaler technique in the disease management of asthma and COPD patients in China. Methods: A prospective intervention study was conducted. 176 enrolled asthma and COPD patients were randomly divided into two groups: 88 in the intervention group and 88 in the control group. The novel progressive pharmaceutical care model included making a brochure, making videos, setting up special drug dispensing window for asthma and COPD patients, face to face demonstration and evaluation, online consultation, and follow up and reevaluation, which was provided for the intervention group participants lasted for 3 months, while the control group patients received usual pharmaceutical care (oral instruction of using inhaler devices was only provided). Outcome measures including rate of clinical effective, incidence of` exacerbation (≥ 2 times), medication adherence, inhaler technique score, rate of correct inhaler usage, and belief about medicines (BMQ) were used to evaluate the pharmaceutical care model. T test and χ2 test were used. Patient satisfaction in the intervention group was surveyed after 3 months. Results: After 3 months’ intervention, the rate of clinical effective, the Morisky Medication Adherence Scale (MMAS-8) score, the inhaler technique score and the rate of correct inhaler usage were higher and the incidence of` exacerbation (≥2 times) and the BMQ score were lower in the intervention group compared with the control group (P<0.00). Besides, the item 1-4, and item 6-7 of patient satisfaction in the intervention group achieved at least 93.18%. Conclusions: The novel progressive pharmaceutical care model based on inhaler technique gave great improvement in the disease management of patients with asthma and COPD. It is proved to be valuable and worthy of further promotion.

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Factors influencing poor medication adherence amongst patients with chronic disease in low-and-middle-income countries: A systematic scoping review

Chauke

Nakwafila

Chibi

et al. 2022

Heliyon

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Specific, but not general beliefs about medicines are associated with medication adherence in patients with COPD, but not asthma: Cohort study in a population of people with chronic pulmonary disease

Abstract: Beliefs about medicines are important factors predicting future medication adherence in patients with COPD, but not asthma. Physicians should primarily focus on the specific beliefs of their patients in order to diminish medication non-adherence.

Cited by 17 publications

References 34 publications

The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review

The Consequences of General Medication Beliefs Measured by the Beliefs about Medicine Questionnaire on Medication Adherence: A Systematic Review

Evaluation of a novel progressive pharmaceutical care model based on inhaler technique in the disease management of patients with asthma and chronic obstructive pulmonary disease in China

Factors influencing poor medication adherence amongst patients with chronic disease in low-and-middle-income countries: A systematic scoping review

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